HEATWAVE Registration

Participant Name*

First NameLast Name

Participant Email*

example@example.com

Campus Life Club/School*

Participant Phone Number*

Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Birth Date*

Date

Age*

Gender*

MaleFemale

T-Shirt Size

I am attending the Heatwave trip from June 28-July 3*

Yes I am attending

Grade You're Going Into*

HEATWAVE CONFERENCE DEEP DIVE TRACK SIGN UP

DO HARD BETTER
For many of us, we have been waiting in our lives for things to get better or easier. According to Duke Women’s Basketball coach, Kara Lawson, the reality is…. “Life will never get easier”….what happens is that you learn to “handle hard better.” Come and join us as we learn how to become the type of people who handle the “hard” that life throws at us “better.”
LEAVING A LEGACY OF SERVICE
Leaving a biblical legacy of service means more than occasional acts of kindness; it involves a lifetime commitment to putting others before oneself, recognizing the inherent worth and dignity of every individual as made in the image of God. This legacy is woven through daily interactions, where faith is demonstrated in actions, and love is shown through service. By investing time, resources, and energy into the well-being of others, Christians can leave a legacy that speaks volumes long after they are gone. Mentoring the next generation, participating in community outreach, and supporting those in need are practical ways to build this legacy. It’s about creating ripples of positive change that mirror the servanthood of Christ.
SEEING AND BEING SEEN: HOW TO CREATE AND KEEP GOOD FRIENDSHIPS
Good friends are hard to find, and it doesn’t matter if you’re so popular that people fight to sit by you, or you’re so lonely that you wonder if they even know you exist. In this Deep Dive, we’re going to talk about effective ways to make and keep the kind of friendships you want to have (actually, need to have). Warning: You may discover you’re not as good a friend as you thought. But you also might realize that you are a gem who simply hasn’t yet been discovered. Either way, we’ve all got some work to do.
THREE STORY PALOOZA
We are hardwired to be drawn into a good story—whether it’s a tragic tale, a romantic comedy, a true crime mystery, a terrifying thriller, an inspirational biography or an action-packed adventure. In this Deep Dive, we’ll be celebrating stories, telling stories, listening to stories and, most importantly, exploring how our small, humble stories connect with God’s grand, extraordinary story. Together, we’ll learn that stories aren’t just for telling; they’re for living.

Please choose the ONE Deep Dive you'd like to attend for the ENTIRE WEEK.

DO HARD BETTERLEAVING A LEGACY OF SERVICESEEING AND BEING SEEN: HOW TO CREATE AND KEEP GOOD FRIENDSHIPSTHREE STORY PALOOZA

Primary Emergency Contact Name*

First NameLast Name

Phone Number*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Secondary Emergency Contact Name*

First NameLast Name

Phone Number*

Area CodePhone Number

Name of Physician*

First NameLast Name

Physician Phone Number*

Area CodePhone Number

Physician Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

I have had a physical within the last 24 months

Medical Insurance Company*

Policy No.*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Allergies (check all those that apply and specific nature of allergic reaction):*

Please specify the nature of allergic reaction*

If none, type N/A

Parent/Guardian Name*

Parent/Guardian Phone Number*

Parent/Guardian Email*

Signature:*

I understand that by filling out this form and signing below, I am agreeing to pay the Registration Amount to attend this HEATWAVE Conference.

Your Signature*

Parent/Guardian Signature*

PAYMENT*

I want to Pay Online NowI will send a check written to "Campus Life" with Memo: Heatwave Reg. (mailed to: NEPA Youth For Christ 1613 Jackson St Scranton PA, 18504)

Registration Payment

USDFill with remaining balance.

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

ACH Bank Transfer

I represent that I am the participant named below (if 18 or over) or the legal parent/guardian of the child named below, who is under 18 years of age. In consideration for allowing my child to participate in this activity and ongoing YFC activities, I hereby consent to the foregoing on behalf of my child and agree that this release shall be binding upon me, my child, our heirs, legal representatives and assigns.

Participant Signature

Participant Name

First NameLast Name

Date

Parent/Legal Guardian Signature (if participant is under 18)

Parent/Legal Guardian Name

First NameLast Name

Parent/Legal Guardian Phone Number

Area CodePhone Number

Date

Please verify that you are human*

Deep Dives

Primary Emergency Contact Info

Secondary Emergency Contact

Medical

Payment Methods

Consent and Release of Liability